Claim total
$1,121.15
base $93.83 · payer covered $1,121.15
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-03-08
- Stop
- 2023-03-08
The parties
- Patient
- patient Humberto Hackett
- Provider
- provider Sherly Hodkiewicz
- Payer
- payer Humana
Record id
28b97195-4a3c-8c0a-bad1-31a5ffd9da6c